Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.

More about Dr. Santosh D Kale

Dr. Santosh D Kale is a trusted General Physician in Nerul, Navi Mumbai. He has been a successful General Physician for the last 18 years. He is a qualified MBBS, MD - Pharmacology . You can visit him at Kale's Clinic in Nerul, Navi Mumbai. Save your time and book an appointment online with Dr. Santosh D Kale on Lybrate.com.

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Dyspareunia is pain prior to, during, or after, sexual intercourse. Dyspareunia is more common in women but can affect either sex. Dyspareunia can have several different causes. For instance, vaginismus is a ‘spasm’or contractions of the muscles surrounding the vagina.

Dyspareunia is pain prior to, during, or after, sexual intercourse. Dyspareunia is more common in women but can affect either sex. Many women will experience dyspareunia at some time in their life. Sometimes a medial or physical etiology may not be obvious and psychosocial factors also can play an important role. In men, dyspareunia can be related to an allergic reaction to a condom or spermicidal. An infection of the prostate or prostatitis may also cause pain. If a female partner has a vaginal infection or dryness, the male can experience discomfort during intercourse.

Dyspareunia can have several different causes. For instance, vaginismus is a “spasm” or contractions of the muscles surrounding the vagina. Women with vaginismus have pain with insertion of tampons as well as with penile penetration.

Vulvodynia and vulvar vestibullitis are both conditions that are characterized by painful intercourses. They are also characterized by vulvar burning and itching. The discomfort may not necessarily be associated with intercourse.

In older women vaginal dryness is a common cause of dyspareunia. This is a common problem for women that are not on hormone replacement. Dyspareunia can also be caused by abnormalities of the uterus or pelvic organs. Woman may describe the pain as feeling that something is being “pushed” or “bumped” during intercourse. An enlarged uterus or ovary can cause painful intercourse especially during deep penetration. A prolapsed or “dropped” uterus or bladder may also cause discomfort. Dyspareunia can also result from previous pelvic surgery or infection. These conditions can reduce movement of the pelvic organs resulting in pain with deep penetration.

Women who experience trauma such as rape or sexual assault may also experience dyspareunia. Unfortunately, many women may have difficulty sharing this information with their health care providers.

In order to treat dyspareunia appropriately the cause must be identified. The time at which the pain occurs during intercourse and other associated symptoms can help determine the potential etiology. For instance, pain during entry may have a different etiology than pain with deep penetration.

It is also important for a health care provider to know when in a woman’s life symptoms began. For example, if a woman’s symptoms began around or shortly after menopause; her symptoms could result from atrophic vaginal tissue. She may describe her symptoms as burning or “friction” with intercourse. Vaginal lubricants or estrogen can improve dryness and decrease pain. For women with a history of endometriosis, pelvic surgery, or infection, treatment of dyspareunia is aimed at restoring pelvic organs to their normal positions and reducing scar tissue. Surgical management may also be recommended for women with symptomatic prolapsed of the uterus, rectum, or bladder.

Women with a history of sexual abuse or treatment may benefit from psychological evaluation and treating any depressive symptoms that are present.

Types of dyspareunia:

It is useful to differentiate between the different types of dyspareunia to arrive at the appropriate diagnosis, treatment, and eventual prognosis.

1. Superficial dyspareunia. Vaginismus is a specific type of dyspareunia that refers to spasms of the levator ani and perineal muscles, making intercourse difficult, painful. Undesirable, and often impossible. May clinicians have defined vaginismus as an almost certain psychogenic illness. However, organic disorders of the external genitalia and introital areas can cause such severe discomfort that any attempts at penetration can leas to spasm. This particular cycle, primarily caused by situational and anticipatory anxiety, can become self perpetuating often both organic and functional and can be solely a result of recognized disease entities.2. Deep dyspareunia refers to a deeper pelvic pain that is experienced at any time during intercourse. Again, this may be secondary to pelvic abnormality, or it may be functional in origin. It also tends to overlap more with chronic pelvic pain syndrome.
Etiology of dyspareunia:

The presence of organic disease is often the cause of dyspareunia. Virtually all gynecologic disease entities list dyspareunia as a possible symptom.

Prominent in the list of diseases associated with dyspareunia are the following:

3. The most common causes of superficial dyspareunia include vaginitis (atrophic or infectious) or lack of lubrication (either caused by physiologic conditions or suboptimal sexual technique.

4. Lesions in the cul-de-sac are said to correlate most often with deep penetration dyspareunia.

5. Women who have deep penetration dyspareunia and who do not have superficial pain on penetration or vaginismus usually do not have a causative external inflammatory syndrome.

6. Some individual with external dyspareunia or vaginismus have small, almost imperceptible scar tissue secondary to surgery or childbirth.

7. Two clinical syndromes not usually recognized involve broad ligament varicosities and the broad ligament tear syndrome.
8. Frequently unrecognized etiology, particularly on first, interview, is a history or sexual assault or abuse.

Diagnostic workgroup

It is extremely important to look for evidence of sexual abuse both on history and physical examination before undertaking an expensive workup. Routine studies include a cbc, sedimentation rate, urinalysis, urine culture and sensitivity, and vaginal smear and culture. A pap smear should also be done. If pregnancy is suspected, a pregnancy test should be done. If there is a pelvic mass, pelvic ultrasound may be helpful. A referral to gynecologist is usually made before ordering this study, however. If vulval dystrophy is suspected, a vaginal biopsy may be useful. If the vaginal examination is normal, perhaps a psychiatrist should be consulted.

Vulvar vestibulitis: a chronic and persistent clinical syndrome characterized by severe pain with vestibular touch or attempted vaginal entry, tenderness in response to pressure within the vulvar vestibule, and physical findings confined to various degrees of vestibular erythema.

9. Platina
Strong sexual desire. May have erotic dreams. Difficult to have intercourse as vulva is extremely over-sensitive. Intercourse is painful and causes bruised sensation.

10. Rhus tox
Soreness during and after intercourse, often accompanied by physical restlessness.

11. Sepia
Dryness with bleeding after intercourse. (if you have this symptom seek medical advice.) feeling that everything will prolapse. Suits women who are exhausted and want to escape from their situation.

12. Staphisagria
Extremely useful remedy for pain after loss of virginity or in instances of rape or sexual assault.

13. Thuja
Vagina is over-sensitive making intercourse painful and difficult. Pains: burning, sore, bruised. May be helpful where there is a history of sti’s or if there are feelings of shame and self-disgust in relation to intercourse.

But before taking these medicine please consult your homoeopathic doctor.

Dear sons good morning I presume this is since long. Dry nonproductive cough and no other complaint.
Following will help
haldi steam inlahation twice a day
sakt water luke warm gargles
pranayam
improve immunity. Use cap reimmugen natural product 2 caps three times a day preferably fasting with water for a month.
This should give very good relief.
If not consult a chest physician.
God bless you
vm.

It will not cause weight loss for sure. Masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it is to be considered for its ill-effects. At your age you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives.

Morning sickness is the most common symptom among women during pregnancy, in fact usually the first symptom indicating pregnancy. Most pregnant women experience morning sickness in their first trimester though for some it persists throughout their pregnancy. Morning sickness is also known as nausea and vomiting of pregnancy (nvp), nausea gravidarum or emesis gravidarum. The increase in circulating levels of estrogen hormone and excess salivation during the first trimester are considered the main cause of morning sickness. Morning sickness is mainly characterised as nausea, with or without vomiting.
Natural and safe, homeopathic medicines are deep acting and have no side effects on the body. Unlike the conventional mode of treatment, homeopathic medicines do not supress the disease and its symptoms. In fact, they attack the disorder at the root and set off the body’s own restorative processes, making it strong enough to completely eradicate the disease. Supressing the disease process makes it stubborn. Homeopathic medicines are a natural, healing alternative. Also, unlike conventional medicine, homeopathic medicines are not habit forming.

Symphoricarpus racemosus – one of the most remarkable homeopathic medicines for morning sickness

One of the most effective homeopathic medicines for morning sickness with persistent vomiting during pregnancy is symphoricarpus racemosa. The smell and thought of food seems repugnant in such cases. Nausea with aversion to any kind of food and bitter taste is well attended by homeopathic medicine symphoricarpus racemosus. The person feels better when lying on the back.

Sepia – top grade among homeopathic medicines for morning sickness

Sepia is one of the most prescribed homeopathic medicines for morning sickness where women experience nausea and have great aversion to bread and milk during pregnancy. Nausea at the thought or smell of food, especially food while it is cooking, is a common symptom to look out for prescription of sepia. In cases where everything tastes too salty along with water brash after eating or drinking, sepia is one of the best homeopathic medicines for morning sickness.

Gossypium herbaceum – one of the best homeopathic medicines for morning sickness

Another of the most effective homeopathic medicines for morning sickness is gossypium herbaceum. Symptoms of nausea, along with flow of saliva and inclination to vomit in the morning are treated well with gossypium herbaceum. The person experiences nausea and vomits on waking, usually before breakfast. Gossypium herbaceum has shown remarkable results in morning sickness, especially during the early months of pregnancy, placing it among the top rated homeopathic medicines for morning sickness.

Ipecac – outstanding among homeopathic medicines for morning sickness

Homeopathic medicine ipecac is highly recommended for morning sickness with a constant desire to vomit. The person experiences headache with nausea and vomiting in such cases. Nausea that rises with the smell of food is best treated with ipecac, making it an outstanding option among homeopathic medicines for morning sickness.

Natural and safe, amygdalus persica is one of the most valuable homeopathic medicines for morning sickness. Constant nausea and vomiting, along with gastric irritation is also treated well with amygdalus persica. The person complains of being intolerant to food and experiences persistent nausea.

Dear,
there is sperm count test known as" serum analysis and serum culture. Go for test and come back with report for analysis and further guidance.
We have good ayurvedic treatment to improve quality and quantity as per healthy person requirement.

Looks like you are suffering from IBS.
Homoeopathy is wonderful in treating such chronic, repetitive complaints
More details like your family history, past history, thermals, thirst, desires aversions, attitudes is required to make a prescription especially in a chronic case such as yours. Consult in private with the above details. More questions may be asked if required.